Chronic calcific pancreatitis (CCP), endomyocardial fibrosis (EMF), multinodular goitre (MNG) and mucoid angiopathy along with the root wilt disease of coconut is endemic to Kerala with its radioactive actinide beach sands.
The following groups were included in the study:-endomyocardial fibrosis, chronic calcific pancreatitis, multinodular goitre and mucoid angiopathy.
There was increase in cytochrome F420 indicating archaeal growth in endomyocardial fibrosis, chronic calcific pancreatitis, multinodular goitre and mucoid angiopathy.
This can contribute to chronic calcific pancreatitis.
Therefore, patients with chronic calcific pancreatitis who do not have pain should not be considered candidates for stone removal, he asserted.
Divergent rates of success for stone removal may be related to the fact that there are two underlying explanations for pain associated with chronic calcific pancreatitis, he said.